Individual provider Active NPI

Guy William Azzinaro, ARDMS

  • Vascular Sonography Radiologic Technologist
  • Pompano Beach, FL
National Provider Identifier
1639128333
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
18214 Issued in FL
Practice address
1821 Bel Air Ave
Pompano Beach, FL 33062-7672
Phone
(954) 473-1363
Fax
(954) 382-2136
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 18214 FL
Vascular Sonography Radiologic Technologist 2471V0105X 18214 FL Primary

Addresses

Primary practice location

1821 Bel Air Ave
Pompano Beach, FL 33062-7672

Mailing address

1821 Bel Air Ave
Pompano Beach, FL 33062-7672
Phone (954) 473-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18214FLMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Diagnostic Imaging Inc CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1639128333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BEL AIR AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627672",
            "telephone_number": "954-473-1363",
            "fax_number": "954-382-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BEL AIR AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627672",
            "telephone_number": "954-473-1363",
            "fax_number": "954-382-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZINARO",
        "first_name": "GUY",
        "middle_name": "WILLIAM",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "18214",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "FL",
            "license": "18214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.